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General NPI Number Information
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NPI Number | 1306495221
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Entity Type | Individual
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Provider Name | AMANDA M BROWN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 417 WHITE ST E
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City | ROCK HILL
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State | SC
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Zip | 29730-5333
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Country | US
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Telephone | 803-324-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 417 WHITE ST E
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City | ROCK HILL
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State | SC
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Zip | 29730-5333
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Country | US
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Telephone | 803-324-2202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 14797
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 16826
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6930
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License Number State | SC
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